SECTION 1. The Division of Health Care Finance & Policy shall amend the formula used to determine continuous skilled nursing care rates for singe and multi-patient home health service pursuant to chapter 118G of the General Laws by attributing no less than 30 percent of the rate to the indirect cost component used to determine payment to agencies; and no more than 10 percent of the rate to the indirect cost component used to determine payment to an individual practitioner.
SECTION 2. The Division of Health Care Finance & Policy shall not establish rates to reimburse for continuous skilled nursing care provided by Licensed Practical Nurses relative to 114.3 CMR 50.04 (2)(2)(b) to three patients or more.
SECTION 3. The Division of Health Care Finance & Policy shall authorize overtime hours for continuous skilled nursing provided through a home care agency where a family, by written affidavit, confirms an inability to find providers for 25 percent or more of the hours determined to be medically necessary.
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